Individual
VIVIAN R CEFALO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NMW
Contact information
Practice address
1407 N TRACY BLVD, TRACY, CA 95376-3445
(209) 524-1211
Mailing address
600 COFFEE RD, MODESTO, CA 95355-4201
(209) 524-1211
Taxonomy
Speciality
Code
Description
License number
State
176B00000X
Midwife
Primary
NMW1509
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
NP9791
NURSE PRACTITIONER LICENSE
CA
Enumeration date
02/28/2007
Last updated
07/01/2008
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